J Gregory Nahorney, D.D.SAppointments: (916) 446-7722

J Gregory Nahorney D.D.S.

J Gregory Nahorney, D.D.S

If you're facing oral surgery or tooth extractions, you need reassurance and information from a trusted professional. Let Sacramento area dentist Dr. J Gregory Nahorney and his friendly staff put your mind at ease. Let us explain how your procedure can be conducted safely, quickly, and comfortably.

If you're looking for attractive porcelain veneers, Sacramento area veneers dentist Dr. Nahorney can help. Our friendly team will evaluate your situation to make sure you're a good candidate for dental veneers.

Then we'll develop your individual plan for the process. Your cracked, chipped or discolored teeth will be transformed to look completely natural so you can enjoy your bright new smile.

Dr. Nahorney has extensive experience providing gingivitis treatments in the Sacramento area. Bleeding gums can lead to more serious health problems if not treated promptly.

Our friendly, professional team will evaluate your needs and design a personal treatment plan. We'll help you have healthy gums and teeth for life.

For comfortable dental hygiene treatment in the Sacramento, California area, Dr. J Gregory Nahorney is known for having a gentle touch. The friendly team at J Gregory Nahorney, D.D.S provides teeth cleaning for a whiter smile.

Maintaining good dental hygiene is the foundation for healthy teeth and gums. We're committed to helping you have a lifetime of oral health.

Long Island Dental Excellence practices the highest infection control standards to protect our patients and ourselves. In the Rockville Centre, NY area, Dr. Michael Rechter and his staff strictly observe all Occupational Safety and Health Administration (OSHA) guidelines. All instruments are cleaned, disinfected and routinely sterilized as recommended by the American Dental Association and the Centers for Disease Control. Whenever possible, disposable, single-use items are used to ensure your safety.

New and safe sedation dentistry with Rockville Centre area sedation dentist Dr. Michael Rechter means you can have years of dental treatments done quickly while you're lightly sedated, with little or no discomfort. If you've been putting up with discomfort, hiding your smile, or delaying scheduling dental work because you're too busy, your life is about to change. Make a sedation dentistry consultation appointment today with Dr. Rechter.

Long Island Dental Excellence is a trusted Rockville Centre area dental implants practice providing natural-looking, comfortable tooth replacement. We make it our mission to use a gentle touch during the process.

We hold ourselves to the highest standards to replace missing teeth and provide you with natural-looking results. Our goal is to restore your confidence and your bright, healthy smile.

Safe, anxiety-free dentistry with Rockville Centre area dentist Dr. Michael Rechter means you can have dental treatments done quickly while you're lightly sedated, with little or no discomfort.

You no longer have to tolerate feeling uncomfortable, hiding your smile, or putting off dental work because of a busy schedule. You'll feel relaxed during your dental appointment, and relieved that your oral health is in good hands.

Here at Long Island Dental Excellence, your comfort is our number one priority. We will do our utmost to put you at ease and keep you feeling relaxed and secure. Under the experienced leadership of Dr. Michael Rechter, our dedicated team of professionals is at your service to explain your treatment thoroughly and answer any questions you may have.

Request an Appointment With Long Island Dental Excellence

Weaver Dental CareAppointments: (859) 372-6300

Dave Philbrick D.M.D.

Weaver Dental Care

The friendly, caring staff of Weaver Dental Care in the Florence, Kentucky area strive to make you feel comfortable and well-cared for at your dentist appointment. Dave Philbrick, D.M.D. is committed to serving you and your family's dental needs, year after year. Come and see what we have to offer in a professional setting where top-notch customer service still matters.

At Weaver Dental Care we offer a range of treatment options for sleep apnea. If snoring or obstructed breathing is a problem, call Dr. Philbrick today to learn how we can help you breathe easier.

Left untreated, sleep apnea can cause serious health problems, so contact us now to schedule an examination.

For comfortable tooth cleaning in the Florence, Kentucky area, Dr. Dave Philbrick is known for having a gentle touch. The friendly team at Weaver Dental Care provides dental hygiene treatments for a whiter smile.

Maintaining good dental hygiene is the foundation for healthy teeth and gums. We're committed to helping you have a lifetime of oral health.

For comfortable dental hygiene treatment in the Florence, Kentucky area, Dr. Dave Philbrick is known for having a gentle touch. The friendly team at Weaver Dental Care provides teeth cleaning for a whiter smile.

Maintaining good dental hygiene is the foundation for healthy teeth and gums. We're committed to helping you have a lifetime of oral health.

In order to maintain your oral health, it's important to schedule regular dental check-ups. Don't wait until something is wrong to make an appointment with Florence area dentist Dr. Dave Philbrick. At Weaver Dental Care, we provide comfortable and thorough checkups. By catching and correcting a potential dental problem early, Dr. Philbrick can save you vast amounts of time, discomfort, and expense.

Dental Procedure, Pocket Depth Reduction

As the bacteria that cause periodontal disease release toxic substances, they trigger the breakdown of gum and bone. The gum then separates from the teeth, forming gaps that are called periodontal pockets. Bacteria settle in these pockets and because they cannot be removed by the patient's daily oral hygiene, they continue to accumulate and reproduce. Without proper treatment, the bacteria will continue to populate these pockets, creating further gum and bone destruction.

The first step in the treatment of periodontal disease involves the removal of the bacteria that inhabit the periodontal pockets in the form of plaque and tartar. The removal of the pocket irritants, scaling and root planing is combined with oral hygiene instructions that are aimed at improving the patient's ability to control plaque and avoid bacteria from re-infecting the periodontal pockets. Several weeks after completion of scaling and root planing, a periodontal re-evaluation should be completed to assess the healing response. If the periodontal pockets do not reduce to below 4 mm and the gums are still unhealthy, surgical treatment may be indicated.

Pocket depth reduction is a term used for a series of different surgical procedures (gingivectomy, flap surgery, osseous surgery). The purpose of these procedures is to gain access to the root surface to effectively remove calculus and to reduce the size of the pockets to help prevent bacteria from settling in.

What to Expect

Pocket depth reduction is done in the dentist's office with local anesthesia (lidocaine). After lifting the gum back, the bacterial plaque and tartar are removed from the root surfaces. It also may be necessary to remove the infected gum tissue and to smooth the bone surface. Stitches (sutures) are placed to aid in healing. The stitches are usually removed five to ten days after the surgery. Follow-up appointments are scheduled as necessary to evaluate healing and plaque control.

Post-surgical discomfort may last a few days and is usually minimal. It can be easily managed with commonly available over-the-counter medications such as aspirin, acetaminophen, or ibuprofen. Patients can expect to follow their normal routine the day after surgery. A dentist will provide special instructions related to diet, exercise, and medications.

After pocket depth reduction, patients may experience heightened tooth sensitivity. This is temporary and usually resolves within a few weeks. There are chemical aids available that help reduce sensitivity.

Some people also may experience looser teeth after periodontal surgery. This also is a transient finding that occurs as part of the normal healing process. With proper plaque control and bite adjustment, the teeth usually tighten up in a few weeks.

Another concern after pocket depth reduction is that the teeth may appear longer and that there are spaces in between the teeth. Actually, longer teeth are the result of periodontal disease, not of periodontal surgery. As periodontal disease infects and destroys the bone that encases the roots, the root surfaces become exposed. They do not appear exposed because they are covered by the inflamed, swollen gums that form the periodontal pocket. Without proper treatment, the periodontal pockets continue to deepen, giving way to more infection, bone loss, and eventually tooth loss and systemic complications.

There are treatments that can help improve esthetics after periodontal treatment. In addition to periodontal plastic surgery procedures, orthodontic tooth movement (braces) or restorative treatment (crown and bridges) can help create a more pleasing smile line.

Benefits

If periodontal pockets do not resolve after scaling and root planing, a dentist may recommend pocket depth reduction. Whether a dentist performs a gingivectomy, periodontal flap surgery, or osseous surgery, the patient will benefit from the reduction in pocket depth and the reattachment of the gums to the root surface. Pocket depth reduction, when followed by supportive periodontal treatment, is a predictable procedure that can help keep teeth healthy and reduce the risk of serious health problems related to periodontal disease. If a general dentist does not frequently do surgeries, he or she may refer the individual to a periodontist that specializes in this technique.

By Laura Minsk, DMD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Periodontal Disease Treatment Slows Periodontitis

One of the goals of periodontal disease treatment is to arrest and control the progression of the bacteria that cause gingivitis and periodontal disease. As the bacteria infect the gum tissues, they release toxic substances that trigger the breakdown of gum and bone. The gum then separates from the teeth, forming a gap that is called a periodontal pocket. These spaces are inaccessible to daily oral hygiene techniques. Bacteria settle in these pockets and continue to accumulate and reproduce, creating further gum and bone destruction.

Periodontal disease treatment such as scaling and root planing involve the removal of the irritants and bacterial deposits (plaque and tartar) that have accumulated above and below the gum line in the periodontal pockets. The root surfaces of the teeth are planed (smoothed) to promote healing and to help prevent future bacterial reattachment. At the same time, gingival (gum) curettage can be done to remove the infected soft tissues that line the periodontal pockets.

Most of the time, scaling and root planing is done in two to four visits. For patient comfort, the gums can be numbed by the periodontist using a local anesthetic. One-quarter of the mouth is usually treated at the time and treatment of each quarter can take 45 minutes to an hour (three to four hours for the entire mouth). Most patients report minimal discomfort during these periodontics treatments.

During scaling and root planing appointments, the dental care provider will review oral hygiene techniques that are aimed at improving the person's ability to control plaque and to help avoid bacteria from re-infecting the pockets. Patients also will receive advice on the modification of certain risk factors associated with periodontal disease.

In some circumstances, the dental care provider may recommend the use of adjunctive products for periodontal treatment. To be effective, antimicrobial products such as Chlorhexedine, PerioChip, and Atridox should be used in combination with scaling and root planing. Periostat is also a product that can be used as an adjunct to scaling and root planing in order to impede further tissue breakdown and promote healing.

Several weeks after completion of scaling and root planing, a periodontal re-evaluation should be completed. The purpose of this exam is to assess the response to treatment and determine if there is a need for further treatment.

The best way to stop the progression of periodontal disease is to mechanically remove the bacterial plaque and tartar that have accumulated in the periodontal pocket. Daily oral hygiene and supportive periodontal treatment (see article "Supportive Periodontal Treatment") is key to the success of scaling and root planing. Without treatment, the tartar and plaque buildup underneath the gums will continue to cause periodontal tissue breakdown, progression of periodontal disease, and eventually tooth loss and/or systemic (general) complications.